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  5. DUSTIN DENTAL ASSOCIATES, LLC

DUSTIN DENTAL ASSOCIATES, LLC

Company Details

Entity Name: DUSTIN DENTAL ASSOCIATES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 29 May 1997
Date of dissolution: 01 Jul 2024
Business ALEI: 0563564
NAICS code: 621210 - Offices of Dentists
Business address: 68 DEARFIELD DR, GREENWICH, CT, 06831, United States
Mailing address: 68 DEARFIELD DR, GREENWICH, CT, United States, 06831
ZIP code: 06831
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: dustindental@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DUSTIN DENTAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2016 061483509 2017-10-13 DUSTIN DENTAL ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing VIVY DUSTIN
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC DEFINED BENEFIT PLAN 2016 061483509 2017-10-13 DUSTIN DENTAL ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing VIVY DUSTIN
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2015 061483509 2016-10-10 DUSTIN DENTAL ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing ROBERT DUSTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing ROBERT DUSTIN
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC DEFINED BENEFIT PLAN 2015 061483509 2016-07-12 DUSTIN DENTAL ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing DR. ROBERT DUSTIN, JR.
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC DEFINED BENEFIT PLAN 2014 061483509 2015-10-09 DUSTIN DENTAL ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing DR. ROBERT DUSTIN, JR.
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2014 061483509 2015-10-09 DUSTIN DENTAL ASSOCIATES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing ROBERT DUSTIN
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC DEFINED BENEFIT PLAN 2013 061483509 2014-10-07 DUSTIN DENTAL ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing DR. ROBERT DUSTIN, JR.
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2013 061483509 2014-10-07 DUSTIN DENTAL ASSOCIATES, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing ROBERT DUSTIN
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC DEFINED BENEFIT PLAN 2012 061483509 2013-10-02 DUSTIN DENTAL ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing DR. ROBERT DUSTIN, JR.
Valid signature Filed with authorized/valid electronic signature
DUSTIN DENTAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2012 061483509 2013-10-02 DUSTIN DENTAL ASSOCIATES, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2038698155
Plan sponsor’s address 68 DEARFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing ROBERT DUSTIN
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
VIVY LAM DUSTIN Officer 68 DEARFIELD DRIVE, GREENWICH, CT, 06831, United States 68 DEARFIELD DRIVE, GREENWICH, CT, 06831, United States
ROBERT SHARPE DUSTIN JR Officer 68 DEARFIELD DR, GREENWICH, CT, 06831, United States 68 DEARFIELD DR, GREENWICH, CT, 06831, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Vivy Dustin Agent 68 DEARFIELD DR, GREENWICH, CT, 06831, United States 68 DEARFIELD DR, GREENWICH, CT, 06831, United States +1 203-550-8883 dustindental@gmail.com 68 DEARFIELD DR, GREENWICH, CT, 06831, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012678875 2024-07-01 2024-07-01 Dissolution Certificate of Dissolution No data
BF-0012174581 2024-02-07 No data Annual Report Annual Report No data
BF-0011262652 2023-01-24 No data Annual Report Annual Report No data
BF-0010309015 2022-03-25 No data Annual Report Annual Report 2022
0007098456 2021-02-01 No data Annual Report Annual Report 2021
0006736827 2020-01-30 No data Annual Report Annual Report 2020
0006436762 2019-03-09 No data Annual Report Annual Report 2019
0006359736 2019-02-04 No data Annual Report Annual Report 2018
0006003459 2018-01-12 No data Annual Report Annual Report 2017
0005836355 2017-05-05 No data Annual Report Annual Report 2016

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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